Shanquita Patrice Sanders, LMT/NMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

5562 Issued in AL

Practice address

1223 2ND Ave S
Birmingham, AL 35233-1305

Phone

(205) 718-5144

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1558071456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 KENWOOD DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352142910",
            "telephone_number": "205-317-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 2ND AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331305",
            "telephone_number": "205-718-5144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Kenwood Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352142910",
            "country_code": "US",
            "telephone_number": "205-317-0860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SHANQUITA",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "LMT/NMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "5562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P Colleen Sanders, MD
• Paul Sanders
• Ronald Darrell Sanders, M.D.
• Sabrina Jackson Sanders
• Sarah Sanders, SLP-CCC
• Sharon Sanders, MS RDN LD
• Thomas Sanders, MD
• Alicia Lynne Sanderson, ACNPC-AG
• Emily Sanderson, M.ED, ALC, NCC
• Martha Rucks Sanderson, CRNP

• Massage Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Massage Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.